Active NPI
City of Webster Groves
- Land Ambulance
- Webster Groves, MO
National Provider Identifier
1265415111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 189375
- Legal business name
- CITY OF WEBSTER GROVES
- Practice address
- 6 S Elm Ave
Webster Groves, MO 63119-3016 - Phone
- (314) 963-5328
- Fax
- (314) 962-4504
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Bainter
- Title
- Assistant Chief
- Phone
- (314) 963-5328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 189375 | MO | Primary |
Addresses
Primary practice location
6 S Elm Ave
Webster Groves, MO 63119-3016
Mailing address
6 S Elm Ave
Webster Groves, MO 63119-3016
Phone (314) 963-5328
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826590274 | Other | RAILROAD MEDICARE | |
| 15668 | Other | GROUP HEALTH PLAN | |
| 29746 | Other | BLUE CROSS BLUE SHIELD | |
| 808718803 | Medicaid | MO | |
| 81-81264 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050719000813 | MO | Part B Supplier - Ambulance Service Supplier | 0244267508 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1000004 | City of Webster Groves Fire and EMS Dept | Certificate of waiver | May 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
6 S Elm Ave
Webster Groves, MO 63119
Phone (314) 351-4702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775174400000",
"number": "1265415111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 S ELM AVE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631193016",
"telephone_number": "314-963-5328",
"fax_number": "314-962-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 S ELM AVE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631193016",
"telephone_number": "314-963-5328",
"fax_number": "314-962-4504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WEBSTER GROVES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A",
"authorized_official_last_name": "BAINTER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "314-963-5328"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MO",
"license": "189375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "826590274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "15668",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29746",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808718803",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "81-81264",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.